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Title:  Vermont Healthcare Service Specialist II - Limited Service

Application Deadline Date:  11/19/2019
Req ID:  3182
Department:  Vermont Health Access
Location: 

Essex Jct, VT, US

Position Type:  Limited Service
Schedule Type:  Full Time
Hourly Rate:  $22.06
Overview

The Department of Vermont Health Access (DVHA)'s mission is to improve the health and well-being of Vermonters by providing access to quality healthcare cost effectively. We have three priorities that support us in moving our mission forward: Adoption of value-based payments, management of information technology projects, and operational performance improvement. Our department commits to executing our responsibilities and priorities while adhering to three core values: Transparency, Integrity and Service.

DVHA's Health Access Eligibility & Enrollment Unit is seeking a qualified individual to join their dynamic team.


This position is part of Green Mountain Care (GMC) team ensuring that Vermonters' have the health insurance coverage they need. Primarily responsible for professionally handling individual caseloads in determining one's healthcare eligibility and coverage.  Incumbents must be detailed oriented and have the ability to manage their individual caseload, and ensure that applications, changes, and verifications are processed in a timely and accurate manner. The incumbent must also possess basic customer service skills in order to communicate clearly and effectively with the Vermonters regarding status of applications, final determinations, complaints/concerns, etc.  Thorough understanding of internal and external business processes, policies and guidelines are paramount.


1. Ability to work independently, in addition to collaborating with other team members.
2. Ability to communicate effectively in writing and orally to a variety of constituents.
3. Ability to handle sensitive and confidential situations; compliance with HIPPA guidelines.
4. Ability to work within a fast-paced, quickly evolving organization and manage multiple, complex priorities.
5. Strong analytical and problem solving skills.
6. Knowledge of and ability to apply basic computer skills and navigate through several applications
7. Excellent customer service.

 

Effective April 2020 our office will be permanently relocating to Waterbury, VT.

Who May Apply

This position, Vermont Healthcare Service Specialist II - Limited Service  (Job Requisition #3182), is open to all State employees and external applicants.

 

It is a Limited Service position, which is non-tenured and authorized for a specific period of time. Limited Service positions are established for specially funded projects or programs. This position is funded through 6/30/21 with potential of being extended.

 

Effective April 2020 our office will be permanently relocating to Waterbury, VT.

 

If you would like more information about this position, please contact Jennifer Boyden at jennifer.boyden@vermont.gov.

 

Resumes will not be accepted via e-mail.  You must apply online to be considered.

Please note that multiple positions in the same work location may be filled from this job posting

AHS BACKGROUND CHECKS:  Candidates must pass any level of background investigation applicable to the position.  In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.

Class Definition

Professional and technical health care eligibility and customer service work performed in the matrixed Health Access Eligibility and Enrollment Unit for Vermont Health Connect and Green Mountain Care. These positions determine applicant eligibility for Vermont's health care programs: Medicaid, Dr. Dynasaur, Healthy Vermonters, VPHARM, and Vermont Health Connect, in addition to providing ongoing customer service to Vermonters enrolled in these programs and qualified health plans (QHPs) within the Tier 2 call center. This position is responsible for processing applications and making eligibility determinations using the following systems: Siebel, ACCESS, and the Vermont Health Connect portal. A large portion of the work required for this position relies upon the employee's ability to use their independent judgement to make a determination based on complicated policy and rules research. Work is performed under the supervision of a Healthcare Service Supervisor or the unit's Assistant Director.

Environmental Factors

Duties are performed in an office setting. Workload is consistently heavy with constant need for prompt and accurate decision making. Incumbents must be able to function independently, prioritize their own work and multi-task effectively. Private means of transportation should be available for necessary travel to training and/or meetings. Applicants may provide a variety of challenges including but not limited to highly emotional conditions (i.e., irate customers, inability to communicate, attempts at falsification, and total discouragement). Work outside of typical business hours may be expected.

Minimum Qualifications

Associate's degree or higher or two (2) years college coursework.

OR

Three (3) or more years of experience in a customer service environment where there was regular use of computer programs, the understanding of, and ability to explain policies/procedures or rules/regulations, and clerical work/data entry.

OR

Six (6) months or more of work experience as a VHSS I.

Special Requirements

Candidates must pass any level of background investigation applicable to the position. In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.

Total Compensation
As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:
  • 80% State paid medical premium
  • Dental Plan at no cost for employees and their families
  • Flexible Spending healthcare and childcare reimbursement accounts
  • Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
  • Work/Life balance: 11 paid holidays each year and a generous leave plan; many jobs also allow for a flexible schedule
  • Low cost group life insurance
  • Tuition Reimbursement
  • Incentive-based Wellness Program
  • Qualified Employer for Public Service Student Loan Forgiveness Program
Want the specifics? Explore the Benefits of State Employment on our website.
Equal Opportunity Employer
The State of Vermont is an Equal Opportunity Employer. Applications from women, individuals with disabilities, veterans, and people from diverse cultural backgrounds are encouraged.
AHS Affirmative

The Vermont Agency of Human Services strives to build a diverse and inclusive community. It is our fundamental belief that in order to create and sustain a healthier Vermont, we as an organization must honor the cultures, beliefs and values of those we serve in order to foster an environment of mutual respect, acceptance and equal opportunity.  We are committed to building and maintaining a multicultural and diverse workforce which reflects the increasing diversity of Vermont. To view the State of Vermont's Equal Employment Opportunity/Affirmative Action Policy, please click here.


Nearest Major Market: Burlington Vermont